Radial- Femoral Pulse Delay

Patient 1:

This is a middle-age man who was admitted to the hospital with cardiogenic shock of unclear etiology. He was discovered to have Corrigan’s pulse on exam, which led to the discovery of Quincke’s pulse, radial-femoral pulse delay, and discrepant blood pressures between the upper and lower extremities, vigorous peripheral pulses in the upper extremities, radial-femoral pulse delay, and a systolic murmur. He was subsequently diagnosed with coarctation of the aorta.

This patient also has Corrigan’s pulse, Quincke’s pulse, vigorous peripheral pulses in the upper extremities, and a systolic murmur.

 

Radial Femoral Delay

Normal Simultaneous Radial-radial Pulse